Active NPI
Palmetto Preventive
- Diagnostic Radiology Physician
- Charleston, SC
National Provider Identifier
1285547455
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- Legal business name
- PALMETTO PREVENTIVE
- Practice address
- 29 Leinbach Dr Ste B1
Charleston, SC 29407-7088 - Phone
- (854) 238-3438
- NPI assigned
- Sep 28, 2026
- Last updated
- Sep 28, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Leisa Stafford
- Title
- Practice Administrator.
- Phone
- (854) 238-3438
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | NU | Primary |
Addresses
Primary practice location
29 Leinbach Dr Ste B1
Charleston, SC 29407-7088
Mailing address
29 Leinbach Dr Ste B1
Charleston, SC 29407-7088
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1790553600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1790553600000",
"number": "1285547455",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "29 LEINBACH DR STE B1",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294077088"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "29 LEINBACH DR STE B1",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294077088",
"telephone_number": "854-238-3438"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PALMETTO PREVENTIVE",
"organizational_subpart": "NO",
"enumeration_date": "2026-09-28",
"last_updated": "2026-09-28",
"certification_date": "2026-09-27",
"status": "A",
"authorized_official_last_name": "STAFFORD",
"authorized_official_first_name": "LEISA",
"authorized_official_title_or_position": "PRACTICE ADMINISTRATOR.",
"authorized_official_telephone_number": "854-238-3438"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Charleston, SC
- Palmetto Home Healthcare
- Palmetto in Homern
- Palmetto Kidney and Hypertension LLC
- Palmetto Lowcountry Behavioral Health, LLC (Palmetto Lowcountry Behavioral Health)
- Palmetto Lowcountry Behavioral Health, LLC
- Palmetto Primary Care Physicians, LLC
- Palmetto Primary Care Physicians, LLC (PPCP Canterbury House)
- Palmetto Primary Care Physicians, LLC (Palmetto Vein Specialist)
- Palmetto Primary Care Physicians, LLC
- Palmetto Primary Care Physicians, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.